Comparative Study of Airway Management Techniques with Restricted Access to Patient Airway

Hoyle, John D.; Jones, J. Stephen; Deibel, M.; Lock, D.; Reischman, Diann

doi:10.1080/10903120701205083

Cited by 26 publications

(20 citation statements)

References 7 publications

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“…Previous reports in EMS literature describing single-person face-to-face intubation state that the right hand should be used to insert the blade and the left to place the tube (2)(3)(4)(5)(6)(7)(8)(9). The position of the intubator is usually on the patient's right side, or straddling the patient (3,7,8,11,30).…”

Section: Discussionmentioning

confidence: 99%

“…EMS literature usually reserves sitting face-to-face intubation for situations in which patients are found in positions that make the performance of standard intubation difficult, such as when a patient is trapped in a seated position in a car (3)(4)(5). Although medical literature provides a small number of articles evaluating the face-to-face technique mostly in the pre-hospital setting, we were unable to locate any articles published in the emergency medicine or anesthesia literature comparing the sitting face-to-face technique to standard intubation (3)(4)(5)(6)(7)(8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Sitting Face-to-Face Intubation (Two-Person Technique) with Standard Oral-tracheal Intubation in Novices: A Mannequin Study

Venezia

Wackett

Remedios

et al. 2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Comparison of Sitting Face-to-Face Intubation (Two-Person Technique) with Standard Oral-tracheal Intubation in Novices: A Mannequin Study

Venezia

Wackett

Remedios

et al. 2012

The Journal of Emergency Medicine

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“…13 As in our study, previous reports in the published literature have described the single-person intubations with the face-to-face approach, and indicated that the right hand should be used to insert the blade, and the left hand should be used to tube. 11,14,15 We observed that little force was required to insert video laryngoscopes.…”

Section: Discussionmentioning

confidence: 99%

“…Glideskop ile entübasyon süresi üç modelde de diğer havayolu araçlarından daha uzundu (p=0,001, p=0,02, p=0,02). Grup içi karşılaştırmada, Glideskop'un entübasyon süresinin normalden yüzyüzeye gidildikçe göreceli olarak uzadığı tespit edildi (16 [14,5] saniye vs. 31 [18,3] saniye, 57 [43,0-71,0] saniye; p<0,001). Bu, diğer havayolu araçları için söz konusu olmadı.…”

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Intubation of a Pediatric Manikin in Tongue Edema and Face-to-Face Simulations by Emergency Medical Staff: A Comparison of the Glidescope, Airtraq and Direct Laryngoscopy

Arslan¹,

Aksu²,

Kibar³

et al. 2016

Turkiye Klinikleri J Anest Reanim

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78rauma victims often need to be intubated at the scene of the trauma. Such intubation is occasionally difficult due to limited access to the patient, cervical spine injury or some factor that makes it difficult to Intubation of a Pediatric Manikin in TongueEdema and Face-to-Face Simulations by Emergency Medical Staff: A Comparison of the Glidescope, Airtraq and Direct Laryngoscopy A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : Trauma victims occasionally cannot be intubated by emergency staff via conventional techniques. We sought to evaluate the efficacies of the application of the Glidescope and Airtraq in normal airway, tongue edema and face-to-face tracheal intubation models as used by emergency medical staff. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : Following approval from the local human research ethics committee, 14 emergency medical staff enrolled in this study. The participants attempted to intubate pediatric manikins in three different airway models (in a random order) with a Glidescope, Airtraq and Direct Laryngoscope. R Re es su ul lt ts s: : All emergency medical staff intubated the normal and tongue edema models successfully with the three devices. The intubation success rates for the Airtraq and Glidescope were 93% with the face-to-face approach (entrapped). The intubation time with the Glidescope was longer than that for the other devices in three models (p=0.001, p=0.02, p=0.02). When compared within groups, the intubation time for the Glidescope was increased relative to the normal face-to-face approach (16 [14.0-21.5] seconds vs. 31 [18.8-34.3] seconds, 57 [43.0-71.0] seconds; p<0.001). This was not the case when we examined the other devices. C Co on nc cl lu us si io on n: : The emergency medical staff was able to intubate the pediatric manikin in the tongue edema and face-to-face models with the Glidescope and Airtraq with similar rates of success. In the Glidescope group, tracheal intubation required much more time, but this prolongation was clinically negligible. This study has been registered at www.clinicaltrials.gov.tr (NCT02478203).K Ke ey y W Wo or rd ds s: : Intubation; pediatrics Ö ÖZ ZE ET T A Am ma aç ç: : Travma mağdurları, acil çalışanları tarafından bazen konvansiyonel tekniklerle entübe edilememektedir. Biz pediatrik maketin acil çalışanları tarafından entübasyonunda Glideskop ve Airtraq'in etkinliğini; normal hava yolu, dil ödemi ve yüz yüze trakeal entübasyon modellerinde araştırmayı amaçladık. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : İnsan Araştırmaları Etik Komitesinden onay alındıktan sonra, bu çalışmaya 14 acil çalışanı dahil edildi. Katılımcılar, pediatrik maket üzerinde üç değişik modelde (sırayla; normal havayolu, dil ödemi ve yüzyüze) entübasyon uyguladılar. B Bu ul lg gu ul la ar r: : Acil çalışanları normal havayolu ve dil ödemi modellerini üç havayolu aracı ile de başarıyla entübe ettiler. Yüz yüze yaklaşımda Airtraq ve Glidescope'un entübasyon başarı oranları %93 bulundu. Glideskop ile entübasyon süresi üç modelde de di...

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“…im Rahmen des Atemwegssicherung beim schwer zugänglichen Patienten [22] gesehen. Gemäß dem Leitsatz "the right tools in the right hand at the right time" werden daher EGA vielerorts auch unter Berücksichtigung des empfohlenen Ausbildungsstands für die Anwendung der ETI in der Notfallmedizin als erste Wahl zur prähospitalen Atemwegssicherung eingestuft und eingesetzt [20,48].…”

unclassified

Larynxmaske oder Larynxtubus

Mann

Lenz

et al. 2015

Notfall Rettungsmed

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Extraglottische Atemwege (EGA) sind aktuell etablierter Bestandteil des modernen Rettungsdienstes in Deutschland [31]. Als Alternativverfahren für die endotracheale Intubation sind EGA ein wichtiges Hilfsmittel beim Management des schwierigen Atemwegs. Im Vergleich zur endotrachealen Intubation (ETI), dem Goldstandard der Atemwegssicherung, werden die Vorteile der EGA in der leichteren Erlernbarkeit bzw. dem geringeren Übungsaufwand zum Routineerhalt [48], der schnelleren Anwendbarkeit (z. B. Reduktion der "noflow-time" bei Reanimationen) [18] oder

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Comparative Study of Airway Management Techniques with Restricted Access to Patient Airway

Abstract: In this mannequin model of restricted airway access, LMA resulted in significantly faster times to ventilation versus ET and CT in all but one scenario. Further consideration and study using airways other than ET are warranted for situations with restricted access to the patient's airway.

Cited by 26 publications

References 7 publications

Comparison of Sitting Face-to-Face Intubation (Two-Person Technique) with Standard Oral-tracheal Intubation in Novices: A Mannequin Study

Comparison of Sitting Face-to-Face Intubation (Two-Person Technique) with Standard Oral-tracheal Intubation in Novices: A Mannequin Study

Intubation of a Pediatric Manikin in Tongue Edema and Face-to-Face Simulations by Emergency Medical Staff: A Comparison of the Glidescope, Airtraq and Direct Laryngoscopy

Larynxmaske oder Larynxtubus

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